The objective of this study is to investigate the impact of membership in women's rural associations on farm productivity. A survey of 320 women was carried out in the Prefecture of Gitarama in Rwanda, in order to obtain primary data and test the hypothesis. / The survey results indicate that women's associations contribute to an increased yield compared to NON-MEMBERS. / In the case of credit and technical assistance, women in general received low support. Being a member of an association provides additional income to the member, but this is not the main reason to join the association. Social reasons, such as not having to work alone and being able to exchange views with other women, prevail over the economic reasons. Mutual aid is considered an important factor when considering joining the association. / The survey results revealed that MEMBERS in general are more literate, are slightly older, have larger families and spend a higher percentage of their income on investments than NON-MEMBERS. (Abstract shortened by UMI.)

This study aims to explore community perceptions and understandings of Rwandan Genocide Memorials. It used selected samples of ten genocide memorials that are scattered throughout the country. Those memorial sites are Bisesero, Kamonyi, Kiziguro, Murambi, Nyamashake, Nyamata, Nyange, Nyanza, Rebero and Shyorongi. The genocide of 1994 has strongly affected Rwandans and its consequences continue to distress the social and cultural values. Today Rwanda is tirelessly committed to rebuild and restore the remnants of material and non material aspects of the country. One of the non material aspects emphasized in this research is remembrance. In building genocide memorials, Rwanda is refusing to let go unrecognized the victims of genocide. Through pictures, graphics and photographs, genocide memorials talk to the community. The population reads and interprets differently the messages genocide memorials communicate. The community's interpretation is often influenced by various personal experiences and by social, cultural, political and religious environments. The way the community reads and interprets the message of genocide memorials has the potential to influence social relationships. The approach used to discover the perceptions and interpretations of the genocide memorials messages from the community views was the functionalist theory. Manifest and latent functions helped to determine respectively the pre-defined and non-recognized functions. This theory helped to discover the dysfunctional roles of those symbols among the community. The present research is an empirical study which used a qualitative approach. It helped the researcher to describe and analyze different perceptions and understandings attributed to the genocide memorials from the ordinary people. The methodology that was used in order to achieve relevant results was focus groups and personal interviews. Through group discussions and interviews, it was discovered that genocide memorials communicate a non violent message that assist Rwandans to improve their social relationships. On the other side, genocide memorials communicate a violent message able to stand in the way of improving social relationships in the community and both poles were stressed. The third position stood between those two extreme poles. It accepted the positive and the negative effects of the messages of the genocide memorials. The themes that were identified by the respondents reflected and articulated these functional and dysfunctional consequences of genocide memorials messages in the community. Although genocide memorials are important monuments, their messages are critical to the Rwandan situation where the community relationships are still not settled. The atrocities that continue to be expressed necessitate a particular consideration in order to reduce their negative consequence. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2012.

This study describes, discusses and analyses the Rwandan lower secondary school teachers’ responses to the introduction of inquiry as a teaching approach in the science curriculum as one of the changes that the curriculum in Rwanda has undergone through in the aftermath of the 1994 genocide. The study investigates the science teachers’ understanding of inquiry-based science teaching, their attitudes towards the introduction of inquiry into the science curriculum, the activities they are engaged in with regard to inquiry-based science teaching and learning, the factors influencing their current teaching practices and their perceptions about what may be done for a better implementation of inquiry-based science teaching. Guided by a pragmatic research approach, I believed that collecting diverse types of data would provide a deeper understanding of the research problem and therefore adopted a two phases’ sequential explanatory mixed methods design. During the first phase, data were collected by means of a survey questionnaire administered to a purposeful sample of 200 science teachers at lower secondary school in Rwanda. Findings from the survey informed the second phase consisting of data collection by means of semi-structured one-to-one interviews with 15 purposefully selected teachers from the sample used in the first phase then supplemented by a contextual observation in their schools. The data from the questionnaire were subject to a descriptive statistical analysis while data from interviews were subject to analysis involving transcribing and reading interview transcripts, coding and categorizing information, identifying patterns, and interpreting. The data analysis produced five main assertions providing answers to the research questions. Participant teachers displayed varying understanding of what inquiry-based science teaching is, associating it with a number of its characteristics such as a learner centred teaching approach mostly based on experiments and practical work. There were a few teachers who did not have accepted understandings of inquiry-teaching. Furthermore, teachers had a positive attitude towards the introduction of inquiry and favoured the change even though they indicated a number of factors preventing them from adequately implementing the new teaching approach. As for their practices, traditional classroom activities were more frequently used than inquiry-based activities and when they made use of inquiry, they followed a specific order of activities that led to a more structured type of inquiry. The study further identified a number of factors influencing both positively and negatively the implementation of inquiry. The positive aspect was that they find teaching through inquiry more enjoyable while the shortage of time, the lack of teaching resources and the lack of confidence associated with inadequate training, influenced negatively the way they implemented inquiry-based teaching. Teachers highlighted a number of interventions they felt would make the implementation of inquiry based teaching more effective. The improvement of resources provision to schools and the implementation of adequate professional development programmes were the most highlighted. Despite the several impediments to the implementation of effective use of inquiry, teachers were optimistic towards the future of science teaching and learning in Rwanda. It is envisaged these findings will be valuable to a wide range of audiences including science teachers, curriculum developers, science teacher educators as they may inform them about the implementation of the new curricula that require teachers to focus on inquiry given the controversy surrounding this issue in science education. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2012.

After the Rwandan genocide in 1994 which irrefutably imposed itself as a reference in history, many books (researches and fiction) were published exposing varied opinions and views. It is an important source which is studied by different fields of knowledge, such as linguistics, literary studies, sociology, psychology and politics. Our study aimed to analyse ties between post-genocide fictional novels on Rwanda and the history of Rwanda. The main objectives of this dissertation (La réécriture de l’histoire du Rwanda à travers la littérature post-génocide. Etude de cas de trois romans africains d’expression française) are to study how knowledge of the history can help to understand these narratives and how these narratives can shed new light on history. In order to analyse this, we did a case study of three representative novels from Francophone Africa which we analysed confronting them to some historical sources. The novels are: - Ndwaniye, Joseph, (2007), La Promesse faite à ma soeur. Bruxelles: Les impressions nouvelles; - Monénembo,Tierno, (2000), L'Aîné des orphelins. Paris: Seuil, and - Diop, Boubacar Boris, (2000), Murambi, le livre des ossements. Paris: Stock. This study is a literary analysis and used a qualitative research method though an interpretive paradigm. As a main output and an answer to one of our research questions about common points between the post-genocide literature on Rwandan and the History of Rwanda, we discovered that in fact by the treatment of time and other writing processes used by the writers, they actually rewrote six important periods in the history of Rwanda: Pre-colonial absolute monarchy, the colonialism, the first and second Republics, the genocide and the post-genocide. These periods are clearly represented in the three novels, even if this may not be the intension of the writer and may be independent to his point of view on history. Matching the present with the past helps to revisit history. It shows how the historical context plays an important role in understanding post-genocide literature on Rwanda, and seen that this literature is discussing the genocide, it ends up delivering some points of view which are important for historians. This may assist in using literature for historical purposes and vice-versa. / Thesis (M.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2012.

The aim of this study was to determine assessment and treatment choices of physiotherapists treating non-specific low back pain in Rwanda. The main objectives were to identify the common types of low back pain treated by physiotherapists, to determine the

The aim of this study was to investigate met and unmet palliative care needs for people living with HIV/AIDS in selected areas in Rwanda. The achieve this aim, the study, firstly, identified the palliative care needs of people living with HIV/AIDS, secondly, it identified the health care services available to meet these needs, and thirdly, it determined the extent to which palliative care needs were met.

This study attempted to examine the nature of the relationship between high levels of external debt and capital accumulation with the case study of Rwanda.

This study explored the provision of entrepreneurship education at higher education institutions in Rwanda with special reference to the levels of provision, support mechanisms, course objectives, contents, teaching and assessment methods to ascertain whether they are appropriately developed to prepare students for entrepreneurship as a career option.

This study investigates Kinyarwaanda sexuality taboo words and their meaning in Rwandan culture to enable the youth to improve their communication and the values of Rwandan culture. It explores whether the use of Kinyarwaanda sexuality taboo words is a good way to communicate with one another or is a transgression of Rwandan culture. Its intent is to see the value that Rwandans assign to verbal taboos, particularly sexuality taboo words, to see how these taboos regulate Rwandans lives, to see the attitudes Rwandans hold towards them, and to find out the link there might be between sexuality taboo words, the information dissemination on HIV/AIDS and the spread of AIDS.

Ce travail est réparti en deux parties différentes issues de deux études différentes.<p>La première partie décrit l’étude AMATA conçue en 2005 au Rwanda, étude prospective basée sur le suivi d’une cohorte répartie en deux groupes d’intervention postnatale. Cette étude avait pour objectif de tester l’hypothèse que l’allaitement maternel (AM) sous trithérapie antirétrovirale maternelle (HAART) pouvait être une prévention aussi efficace que le lait artificiel (LA) afin de réduire drastiquement la transmission du virus VIH de la mère à l’enfant avec une moindre mortalité infantile. Cette intervention permettait de préserver les avantages de l’AM, connue pour offrir une prévention naturelle minimisant les infections graves, en particulier les gastro-entérites et diminuant le taux de malnutrition protéino-énergétique (MPE). Dans la cohorte « AMATA », un groupe d’enfants était allaité exclusivement durant six mois, les mères étant sous trithérapie antirétrovirale systématique et un autre groupe d’enfants était nourri au LA durant les six premiers mois de vie. L’intervention débutait durant la grossesse à partir de la 28ème semaine d’âge gestationnel, une trithérapie antirétrovirale étaient donnée à toutes ces femmes enceintes infectées par le VIH participant à l’étude, quel que soit leur stade immunitaire ou clinique. Cette trithérapie était poursuivie à vie pour les femmes nécessitant cette combinaison de traitements antirétroviraux pour des raisons cliniques et/ou immunitaires et non poursuivie pour les autres femmes, avec un schéma d’interruption minimisant les résistances aux ARVs. <p>Les critères d’évaluation de comparaison des deux interventions postnatales étaient la survie à 9 mois des enfants non infectés, le taux d’infection par le VIH et la mortalité des enfants dans chaque groupe. La présence de facteurs confondants a été recherchée en effectuant une analyse de variance car la randomisation était impossible pour des raisons éthiques. <p> Dans l’étude AMATA, parmi les 532 enfants inclus, 227 (43%) étaient allaités et 305 (57%) recevaient du LA, 7 enfants furent infectés par le VIH (1,3%) dont 6 in utero (3 enfants par groupe). Un enfant fut infecté par l’AM correspondant à un risque cumulatif postnatal de 0,5% [IC95% 0,1–3,4%; P 0,24]. Ce taux de transmission reste parmi les plus bas dans un pays à ressources limitées même en comparant avec d’autres études où la trithérapie fut aussi utilisée durant l’AM. Ces études furent publiées après le début de l’enrôlement des patientes dans l’étude rwandaise AMATA en 2005. <p>La différence de mortalité à 9 mois n’était pas statistiquement différente dans les 2 groupes avec 3,3% (95% IC 1,6–6,9%) pour les enfants allaités et 5,7% (95% IC 3,6–9,2%) pour les enfants recevant du LA (P= 0,20). <p>Cette étude renforce la notion que l’AM sous trithérapie antirétrovirale (HAART) reste une approche à recommander dans les contextes où la mortalité infantile est élevée. Cette prévention postnatale permet non seulement de réduire très efficacement la transmission du VIH de la mère à l’enfant en préservant les avantages de l’AM et en évitant les risques du LA distribué dans des contextes d’hygiène précaire où un accès à l’eau potable est difficile. <p>Dans cette étude, l’efficacité de ces 2 interventions postnatales était comparable avec des taux de transmission et de mortalité semblables statistiquement.<p> <p> <p> La deuxième partie de ce travail, basée sur les résultats d’une cohorte d’enfants âgés de moins de 18 mois nés de mères infectées par le VIH permettait d’évaluer les signes cliniques présomptifs proposés par l’OMS en 2005. Ces signes <p>étaient créés afin de pouvoir effectuer le diagnostic clinique d’infection par le VIH chez les enfants exposés au virus VIH <p>dans les pays où les techniques moléculaires de PCR n’étaient pas accessibles. Les enfants nés de mères infectées par le <p>VIH gardent parfois des anticorps anti-VIH maternels jusqu’à l’âge de 18 mois sans être pourtant contaminés par le VIH/SIDA. Avant cet âge, la confirmation de l’infection par le VIH repose sur la démonstration de la présence d’ADN proviral ou ARN par la technique PCR. La mortalité précoce des nourrissons infectés par le VIH est élevée, il est important de pouvoir bénéficier d’ARVs dès le diagnostic précoce de l’infection.<p>Les signes cliniques de présomption d’infection par le VIH chez l’enfant exposé (sérologie VIH +) de moins de 18 mois ont été proposés en 2005 par l’OMS et modifiés en 2006 mais ne furent jamais évalués. <p>Cette étude transversale comprenant 236 enfants de moins de 18 mois ayant une sérologie VIH positive consistait à évaluer la sensibilité (76,6%) et la spécificité (52,7%) de ces signes cliniques en confirmant leur statut infectieux réel par le test PCR pour le VIH, test de référence. <p>Cette spécificité basse inquiétante était liée aux enfants présentant des signes cliniques similaires bien que non infectés par le VIH mais souvent carencés par manque d’apport calorique et/ou souffrant d’une forme avancée de tuberculose extra pulmonaire ou d’autres affections chroniques. Ces enfants cachectiques pouvaient présenter les mêmes signes cliniques que les enfants infectés par le VIH car ils avaient une baisse de leur immunité cellulaire due à la MPE. <p><p> Dans la première partie de ce travail, l’étude AMATA a montré 2 façons efficaces de diminuer la transmission du VIH de la mère à l’enfant.<p> Dans la deuxième partie, on a évalué une méthode de diagnostic clinique précoce proposé par l’OMS afin de détecter les enfants infectés par le VIH en l’absence de test virologique PCR mais la basse spécificité indique la nécessité d’améliorer cette méthode diagnostique.<p> / Doctorat en Sciences médicales / info:eu-repo/semantics/nonPublished